Active NPI
Elisabeth Henry, PHARMD
- Pharmacist
- Moscow, ID
National Provider Identifier
1366851388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6261
- Practice address
- 2740 West Pullman Rd
Moscow, ID 83843 - Phone
- (208) 882-1344
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6261 | ID | Primary |
| Pharmacist | 183500000X | PH60098255 | WA |
Addresses
Primary practice location
2740 West Pullman Rd
Moscow, ID 83843
Mailing address
315 E Thorn St
Colfax, WA 99111-1613
Phone (509) 397-9130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6261 | ID | MD | Pharmacist |
| PH60098255 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1366851388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E THORN ST",
"city": "COLFAX",
"state": "WA",
"postal_code": "991111613",
"telephone_number": "509-397-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 WEST PULLMAN RD",
"city": "MOSCOW",
"state": "ID",
"postal_code": "83843",
"telephone_number": "208-882-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ELISABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6261",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60098255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.